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Gastrointestinal & Endocrine For this Discussion, you will take on the role of a clinician

September 18, 2024

Gastrointestinal & Endocrine

For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases. Your instructor will assign you your case number.

	Case 1
Chief Complaint (CC)	“I am here today due to frequent and watery bowel movements”
History of Present Illness (HPI)	A 37-year-old European American female presents to your practice with “loose stools” for about three days. One event about every three hours
PMH	No contributory
PSH	Appendectomy at the age of 14
Drug Hx	No meds
Allergies	Penicillin
Subjective	Fever and chills, Lost appetite Flatulence No mucus or blood on stools
Objective Data
PE	B/P 188/96; Pulse 89; RR 16; Temp 99.0; Ht 5,6; wt 110; BMI 17.8
General	well-developed female in no acute distress, appears slightly fatigued
HEENT	Atraumatic, normocephalic, PERRLA, EOMI, arcus senilus bilaterally, conjunctiva and sclera clear, nares patent, nasopharynx clear, edentulous.
Neck	Supple
Lungs	CTA AP&L
Card	S1S2 without rub or gallop
Abd	positive bowel sounds (BS) in all four quadrants; no masses; no organomegaly noted; diffuse, mild, bilateral lower quadrant pain noted Mild diffuse tenderness.
GU	Non contributory
Ext	no cyanosis, clubbing or edema
Integument	good skin turgor noted, moist mucous membranes
Neuro	No obvious deformities, CN grossly intact II-XII

Answer the following questions:

1.
What other subjective data would you obtain?

2.
What other objective findings would you look for?

3.
What diagnostic exams do you want to order?

4.
Name 3 differential diagnoses based on this patient presenting symptoms?

5.
Give rationales for your each differential diagnosis.

Submission Instructions:

· Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.

· All replies must be constructive and use literature where possible.

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